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Thread: anesthesia coding for screening colon

  1. #1
    Join Date
    Apr 2007
    Lauderdale Lakes

    Default anesthesia coding for screening colon

    AAPC: Back to School
    I dont have any experience when it comes to anesthesia billing but I need some information on those who do bill it. The question is if a patient has a colon for a screening colonoscopy what do you bill for the anesthesia. The doctor and the facility billed the
    V76.51 and the anesthesiologist billed 455.0. The op report states pt came in for a screening colonoscopy and the doctor did see hemorrhoids with no complications. Doctor and facility both billed V76.51 as primary and were paid 100%. The anesthesiologist billed the 455.0 and is going towards deductible. I need to know what is the proper way of coding the anesthesiology. Would they have to bill the V76.51 also?

    Also for a screening colonoscopy does it warrent having two anesthesiologists? The patients are being billed for an anesthesiologist and a CRNA.

    Any help on this would be very much appreciated. I am trying to help a patient but before I call the anesthesiologist I want to know what I am talking about.

  2. #2
    Join Date
    Apr 2007
    Orlando, FL

    Default Anesthesia for screening colonoscopy

    When we bill for anesthesia for the colonoscopy, we would bill 00810 (the anesthesia cross-code for any of the colonoscopy codes). In our practice, if the provider notes screening colonoscopy and then a finding, we would bill the v76.51 primary, the finding secondary. The problem comes when either the provider doesn't note that it started as a screening or if the provider noted the patient was having symptoms (rectal bleeding, change in bowel habits, etc). When the patient is having the colonoscopy because of a sign/symptom, it becomes diagnostic and we don't apply the v76.51 code.

    I hope this helps

    Kellie, CPC, CANPC

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